Capital Transitional Care
6821 24th Street, Sacramento, CA 95822


Capital Transitional Care is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555442. The address is 6821 24th Street, Sacramento, CA 95822. The zip code is 95822. The phone number is 9163916011.


Capital Transitional Care · 6821 24th Street, Sacramento, CA 95822

Federal Provider Number 555442
Provider Name CAPITAL TRANSITIONAL CARE
Address 6821 24TH STREET
SACRAMENTO, CA 95822
Phone Number 9163916011
SSA County Code 440
County Name Sacramento
Ownership Type For profit - Corporation
Certified Beds 121
Certified Beds Residents 113
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name COVENANT CARE CALIFORNIA, LLC
Date First Approved to Provide Medicare Medicaid Services 12/13/1990
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.29779
Reported LPN Staffing Hours per Resident per Day 1.19513
Reported RN Staffing Hours per Resident per Day 0.48673
Reported Licensed Staffing Hours per Resident per Day 1.68186
Reported Total Nurse Staffing Hours per Resident per Day 3.97965
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03142
Expected CNA Staffing Hours per Resident per Day 2.64482
Expected LPN Staffing Hours per Resident per Day 0.83387
Expected RN Staffing Hours per Resident per Day 1.25677
Expected Total Nurse Staffing Hours per Resident per Day 4.73546
Adjusted CNA Staffing Hours per Resident per Day 2.13174
Adjusted LPN Staffing Hours per Resident per Day 1.18958
Adjusted RN Staffing Hours per Resident per Day 0.28938
Adjusted Total Nurse Staffing Hours per Resident per Day 3.38754
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 10/06/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 12
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 60
Cycle 2 Standard Health Survey Date 11/05/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 60
Cycle 3 Total Number of Health Deficiencies 28
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 23
Cycle 3 Health Deficiency Score 116
Cycle 3 Standard Health Survey Date 11/07/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 116
Total Weighted Health Survey Score 63.333
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 31
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Capital Transitional Care

Owner Name Role Association Date
ASHLEY, DAVA (Individual) OFFICER since 11/01/2013
ASHLEY, DAVA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2013
CARNEY, KEVIN (Individual) OFFICER since 11/01/2013
CENTRE CAPITAL INVESTORS V, LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
CENTRE COVENANT PURCHASER (B), LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
CENTRE COVENANT PURCHASER (Q), LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
CENTRE COVENANT PURCHASER (S), LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/19/2008
CENTRE V SECONDARY FUND, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
COVENANT CARE CALIFORNIA, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
COVENANT CARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
COVENANT HOLDCO, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
COVENANT SUBCO, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
DONOVAN, ROBERT (Individual) OFFICER since 11/01/2013
EVANS, MARY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
EVANS, MARY (Individual) OFFICER since 11/01/2013
GENERAL ELECTRIC CAPITAL CORPORATION (Organization) 5% OR GREATER SECURITY INTEREST since 01/04/2011
LEVIN, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
LEVIN, ROBERT (Individual) OFFICER since 11/01/2013
SIMS, CHRISTINE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
SIMS, CHRISTINE (Individual) OFFICER since 11/01/2013
SPARKS, CAROL (Individual) MANAGING EMPLOYEE since 04/17/2006
STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/19/2008
STOCKWELL FUND II LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/19/2008
TOROK, ANDREW (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/17/2008
TOROK, ANDREW (Individual) OFFICER since 11/01/2013

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